Synovial Fluid

Question 1

1. The word synovial means resembling:
   a. An oval
   b. Egg albumin
   c. Lipids
   d. Serum

Answer 1

b. Egg albumin

Question 2

2. Aspiration of joint fluid is indicated for any patient with:
   a. Edematous joints
   b. Inflamed joints
   c. Painful joints
   d. All of these

Answer 2

c. Painful joints

Question 3

3. Normal joint fluid is:
   a. Colorless and clear
   b. Red and cloudy
   c. White and hazy
   d. Yellow and hazy

Answer 3

a. Colorless and clear

Question 4

4. A firm mucin clot of synovial fluid indicates the presence of:
   a. Arthritis
   b. Fibrinogen
   c. Hyaluronate
   d. Inflammation

Answer 4

c. Hyaluronate

Question 5

5. No formation of a “string” when dispensing synovial
   fluid from a syringe indicates that:
   a. Collection was traumatic
   b. Fibrinogen levels are low
   c. Inflammation is present
   d. The fluid is normal

Answer 5

c. Inflammation is present

Question 6

6. A cloudy synovial fluid demonstrating poor viscosity with decreased glucose levels and a WBC count of 180,000 (90% neutrophils) is most likely from a patient with which process?
   a. Crystal-induced
   b. Hemorrhagic
   c. Noninflammatory
   d. Septic or inflammatory

Answer 6

d. Septic or inflammatory

Question 7

Match the characteristics of synovial fluids with their corresponding Group category.
A. Normal
B. Group I
C. Group II
D. Group Ill
E. Group IV
F. Group V

7. ___ colorless, clear, 57 WBCs, 10% neutrophils
8. ___ milky, 80,000 WBCs, 40% neutrophils,
   monosodium urate crystals
9. ___ red, cloudy, 2 1 0,000 RBCs, 15,000 WBCs, 45%
   neutrophils
   1 0. ___ yellow, cloudy, 80,000 WBCs, 85% neutrophils
10. ___ yellow, purulent, 220,000 WBCs, 98% neutrophils
11. ___ xanthochromic, 10,000 WBCs, 30% neutrophils, erythrophagocytosis

Answer 7

7.colorless, clear, 57 WBCs, 10% neutrophils
=>A. Normal

8. milky, 80,000 WBCs, 40% neutrophils,
   monosodium urate crystals
   =>E. Group IV
9. red, cloudy, 2 1 0,000 RBCs, 15,000 WBCs, 45% neutrophils
   =>F. Group V

1 0. yellow, cloudy, 80,000 WBCs, 85% neutrophils
=>C. Group II

11. yellow, purulent, 220,000 WBCs, 98% neutrophils
    =>D. Group Ill
12. xanthochromic, 10,000 WBCs, 30% neutrophils, erythrophagocytosis
    =>F. Group V

Question 8

Match the cell with its description.
A. LE cell
B. RA cell
C. Reiter cell
D. Tart cell

1 3. ___ macrophage containing a neutrophil
1 4. ___ monocyte containing nuclear material
1 5. ___ neutrophil containing antibody-altered nucleus
1 6. ___ neutrophil containing immune complexes

Answer 8

1 3. macrophage containing a neutrophil
=>C. Reiter cell

1 4. ___ monocyte containing nuclear material
=>D. Tart cell

1 5. ___ neutrophil containing antibody-altered nucleus
=>A. LE cell

1 6. ___ neutrophil containing immune complexes
=> B. RA cell

Question 9

Match the crystals with their clinical significance.

A. Apatite
B. Calcium pyrophosphate
C. Corticosteroid
D. Monosodium urate

1 7. Gout
1 8. ___ inj ections
1 9. osteoarthritis
20. ___ pseudogout

Answer 9

1 7. Gout
=>D. Monosodium urate

1 8. ___ inj ections
=>C. Corticosteroid

1 9. osteoarthritis
=>A. Apatite

20. ___ pseudogout
    =>B. Calcium pyrophosphate